Davidson, Sean Luke
Davidson, Sean Luke is an sole proprietor health care provider with primary practice located at 3305 Malloy St , Little Rock AR 72204-4480. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Davidson, Sean Luke can be contacted via phone (501) 412-5520.Contact Information
Primary practice address
3305 Malloy St
Little Rock AR 72204-4480
Phone: (501) 412-5520
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | N-7808 | Arkansas |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | AR3886 | Arkansas |
Profile Details
NPI number | 1043865082 |
---|---|
LBN Legal business name | Davidson, Sean Luke |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 6th, 2019 |
Last updated | Apr 11th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043865082 | NPPES |
Arkansas | MEDICAID | 040114 |
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